| NPI | 1336207901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: ME MD20227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 173763) |
| 207R00000X Internal Medicine (Licence: IN 01069603A) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2017-01-05 |